Tactics of surgical treatment in necrotising enterocolitis stage II-B in newborn

Abstract

An analysis was made of the results of surgical treatment of 18 newborns with a diagnosis of stage II-B NEC, admitted in the period from 2018 to 2022. The aim of the work: to analyze the results of surgical treatment for stage II-B necrotizing enterocolitis in newborns using modern technologies. A total of 18 diagnostic laparoscopies (DL) were performed, of which 4 cases were converted - laparotomy. In 14 patients cases, DL was completed by therapeutic laparoscopy using minilaparotomy with video-assessment, including 8 patients, resection of the necrotic portion of the intestine was performed with end-to-end anastomosis. In 6 cases, an intestinal stoma was applied through a minilaparotomy.In comparison, after laparoscopic operations with video assessment, mortality was observed of cases 1 patient out of 14, after traditional surgical interventions, mortality was in 25% of cases 1 patient out of 4. Based on the results of DL at the surgical stage of NEC, it is possible to build further tactics of radical surgical treatment, the possibility of transforming it into a therapeutic one minimizes intraoperative trauma, which positively affects the postoperative survival of patients.